NNP random Exam Questions and Answers 100% Pass

NNP random Exam Questions and Answers 100% Pass 1. The most common complication in pregnancy is gestational: A. Anemia. B. Diabetes. C. Hypertension. answer - Correct Answer ️️ -C. Hypertension is the most common complication in pregnancy and cause of most of the morbidity/mortality in both maternal and neonatal cases. Hypertension-related complications are a leading cause of maternal death in the United States (Jeyabalan, 2015, p. 250; Moore, 2018, p. 119; Poole, 2014, p. 124). 2. Changes to the maternal pulmonary system during pregnancy include a decrease in the woman's: A. Alveolar minute ventilation. B. Functional residual capacity. C. Overall oxygen consumption. - Correct Answer ️️ -B. Pulmonary changes in pregnancy include an increase in minute ventilation, alveolar ventilation, tidal volume, oxygen consumption, PaO2, and arterial pH; a decrease in functional residual capacity, residual volume, and PaCO2. Respiratory rate remains unchanged (Arafeh, 2013, p. 226; Whitty & Dombrowski, 2019, p. 1043). 3. Administration of the varicella vaccine within 3 months of conception has been associated with a/an: A. Absence of fetal varicella infection. B. Decreased risk of maternal pneumonia. C. Increased risk of birth defects. - Correct Answer ️️ -C. Varicella vaccine is not indicated in pregnancy; however, knowing maternal antibody status aids in identifying women most at risk for infection during pregnancy. Administration of varicella vaccine in pregnancy or within 3 months of conception has been associated with increased risk of birth defects (Whitty & Dombrowski, 2019, p. 1050). 4. Pregnant women should be cautioned against allowing infections with N. gonorrhoeae to go untreated due to effects on the fetus, including the: A. Complications of chorioamnionitis. B. Potential for neonatal presbyopia. C. Likelihood of experiencing a birth injury. - Correct Answer ️️ -A. Gonorrhea is the oldest known sexually transmitted infection (STI), is caused by N. gonorrhoeae, and may cause gonococcal ophthalmia neonatorum, disseminated gonococcal infection, preterm premature rupture of membranes, chorioamnionitis, preterm delivery, intrauterine growth restriction (IUGR), and fetal/neonatal septicemia (Duff, 2019, pp. 866-868). 5. The biophysical profile (BPP) antenatal screening combines a nonstress test (NST) with measurements of amniotic fluid volume, fetal breathing movements, fetal musculoskeletal tone, and fetal: A. Femur length. B. Motor activity. C. Velocity flow. - Correct Answer ️️ -B. The BPP combines an NST with amniotic fluid volume (vertical fluid pocket >2 cm), fetal breathing movements, fetal activity, and normal fetal musculoskeletal tone. A score of 0 to 2 is assigned to each category (Barron, 2014, p. 114; Cypher, 2016, p. 143; Dukhivny & Wilkins-Haug, 2017, pp. 9-10; Hackney, 2015, p. 183; Kaimal, 2014, p. 551). 1. With a maternal diagnosis of polyhydramnios, the NNP prepares for a neonate with a possible diagnosis of neonatal: A. Duodenal atresia B. Hypoplastic lungs C. Liver disease - Correct Answer ️️ -A. The etiology of an increased amniotic fluid level falls into three categories: decreased absorption, overproduction, or idiopathic. Fetal swallowing is the predominant mechanism of amniotic fluid removal, so congenital abnormalities associated with the gastrointestinal tract (tracheal atresia, duodenal atresia, tracheal or bowel obstruction) or the neurologic system (anencephaly, trisomy 18, trisomy 21) are often present (Dubil & Magin, 2015). 2. A velamentous insertion of the umbilical cord is associated with: A. Placenta previa B. Uterine abruptio C. Vasa previa - Correct Answer ️️ -C. In vasa previa, the insertion of the umbilical cord into the placenta is velamentous, with the umbilical vessels coursing through the fetal membranes before inserting into the placental disk and the unsupported vessels then overlying the cervix (Hull, Resnik, & Silver, 2019, p. 791). 3. The main contributor to fluid dynamics in early pregnancy is the fetal: A. Pulmonary system B. Integumentary system C. Gastrointestinal system - Correct Answer ️️ -B. Since fetal skin remains nonkeratinized until week 22 to 25, surface exchange is a main factor contributing to fluid dynamics in early pregnancy (Dubil & Magann, 2015, p. 340). 4. The etiology of increased amniotic fluid may be due to decreased absorption, to overproduction, or is A. Idiopathic and unknown B. Impaired by physiology C. Issuing from fetal anomaly answer - Correct Answer ️️ -A. The etiology of an increased amniotic fluid level falls into three categories: decreased absorption, overproduction, or idiopathic (Dubil & Magin, 2015). 5. The NNP is called to attend the delivery of a mother who is 30 weeks +4 days gestation and reported to have oligohydramnios since 18 weeks of gestation. The NNP know to prepare for an infant who will likely be in: A. Cardiopulmonary arrest B. Hemolytic shock C. Respiratory distress answer - Correct Answer ️️ -C. If oligohydramnios is prolonged and occurs during the canalicular phase of alveolar proliferation (16-18 weeks' gestation), severe pulmonary hypoplasia associated with a high perinatal mortality can occur. Although the exact physiologic cause of pulmonary hypoplasia is unclear, any maternal or fetal complication leading to the inhibition of fetal breathing, any lack of a trophic funct